Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Great Grins Dental PLLC

Organization Dental Clinic/Center · NPI 1144839390

Great Grins Dental PLLC is a Dental Clinic/Center in Austin, Texas. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5114 Balcones Woods Dr Ste 308
Austin, TX 78759-5212
Phone: (512) 346-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1144839390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Fossum — Dentist · (713) 972-2044
NPI enumeratedJuly 23, 2020
Last updated in NPPESJuly 23, 2020
Certification dateJuly 23, 2020
Mailing address5672 Rain Creek Pkwy, Austin, TX 78759-6201

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